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General NPI Number Information
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NPI Number | 1407976657
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Entity Type | Organization
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Legal Business Name | KASHIRAD & NAJAFI DENTAL GROUP, INC.
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25 RANCHO SQ
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City | VALLEJO
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State | CA
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Zip | 94589-1672
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Country | US
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Telephone | 707-554-2200
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Fax | 707-554-2211
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Provider Business Mailing Address
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Address Line | 25 RANCHO SQ
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City | VALLEJO
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State | CA
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Zip | 94589-1672
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Country | US
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Telephone | 707-554-2200
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Fax | 707-554-2211
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. BARDIA NAJAFI-KIANFAR
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Credential | D.D.S.
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Telephone | 707-554-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 52069
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 51364
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License Number State | CA
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